help reading an emg

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help reading an emg

Postby jerseygirl on June 17th, 2014, 8:56 pm

Hey guys, just wondering if anyone can help me understand the EMG of my atrophied hand. It says "This is an abnormal study consistent with multiple level cervical polyradiculopathy more on the left. There is also, a median motor neuropathy on the left and a relative right ulnar motor neuropathy below the help."

Not seeing my neurologist for a month and would love help in deciphering this instead of going to google. My atrophy is mostly between my thumb and forefinger and is like a deep hole. Anyone with any knowledge would be so helpful. My health anxiety is not good with words such as motor, abnormal, etc. Thank you in advance
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Re: help reading an emg

Postby Yuliasir on June 17th, 2014, 11:44 pm

PM to Twitchydoc, he is a neurologist and can explain you all in the details.

but for me as a medical translator the summary means you have compression related issue in your neck in several vertebral units (multiple level cervical radiculopathy, inflammation or compresson of nerve roots right at the spine level) - some people have radiculitis in the lumbar region but some in the neck too as this is the most compressed part of upper spine, and also you have ulnar nerve compression trauma in the right arm. You also have a median nerve neuropathy wich is another local issue, median nerve runs in the upper limb and innervated as far as I understan moslty a middle part of the palm.its damage may be realted to the radiculopathy or be a separate compression or inflammation trouble.
Neither of those diagnoses does not seem to be an MND as we mean it - ALS or MS, as it is all purely local. however, as I said here many times, local traumas are causing the same issues as lower motor neuron units damage - atrophy, clinical weakness, discoordination. The only difference is that local trauma is often reversible.
here is a wiki about radiculopathy. It has a huge part called rehabilitation which is a good sign.
http://en.wikipedia.org/wiki/Radiculopathy


looks like tere is something really has to be reviewed in your life in order to understand why your upper limbs and neck are afected so severely - it might be a sport, a workload, an old trauma, a posture etc.
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Re: help reading an emg

Postby raindog on June 18th, 2014, 5:30 am

jerseygirl wrote:Hey guys, just wondering if anyone can help me understand the EMG of my atrophied hand. It says "This is an abnormal study consistent with multiple level cervical polyradiculopathy more on the left. There is also, a median motor neuropathy on the left and a relative right ulnar motor neuropathy below the help."

Not seeing my neurologist for a month and would love help in deciphering this instead of going to google. My atrophy is mostly between my thumb and forefinger and is like a deep hole. Anyone with any knowledge would be so helpful. My health anxiety is not good with words such as motor, abnormal, etc. Thank you in advance


Great reply again Yuliasir :wink:

The emg is pointing out a neurogenic process by way of probable degenerative cervical spondylosis. I have the very same things mentioned due to lumbar stenosis at L4 L5 and S1 so you could have more than one cervical disk affected in you neck. Its nothing related or even typical to the one thing you probably fear. I 'm still going strong after almost 8 years. :D
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Re: help reading an emg

Postby jerseygirl on June 18th, 2014, 8:17 am

Thanks guys and I really appreciate the time you took however, Yuli, you said "doesn't seem to be ALS or MS" which, as you can imagine, is scary for someone with health anxiety. Any thoughts??
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Re: help reading an emg

Postby Yuliasir on June 18th, 2014, 8:24 am

sorry if my words were a source of anxiety for you. Had no intent to cause it of course.

please note also that your ENG summary has even no suggestion of any MND which means the doctors did not suspect nmothing like this.

local traumas - carpal/ulnar compression ans spinal stenosis are the most frequent reasons for pain, atrophy and even paresis in otherwise healthy people.
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Re: help reading an emg

Postby jerseygirl on June 18th, 2014, 10:21 am

Guess I just need to keep telling myself that I have so
Much pain in my hand that is atrophied and lots of sensory issues which hopefully is t my cervical herniated disc c5/c/6. Just so scary to see the atrophy and a recent emg that changed so much from 15 months ago. Not to mentioned the diagnosed arthritis in the same hand. Ugh....
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Re: help reading an emg

Postby jerseygirl on June 18th, 2014, 1:29 pm

Hey everyone's neurologist emailed
me with the below information which of
Course made me feel
Better and hopefully maybe help someone else. As
Always you guys are the best ...
"The EMG from the Englewood doctors does NOT show ALS. ALS is not a neuropathy which they say she has slightly and ALS is not a radiculopathy. So the latest EMG is not ALS ."
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Re: help reading an emg

Postby raindog on June 19th, 2014, 7:05 am

jerseygirl wrote:Hey everyone's neurologist emailed
me with the below information which of
Course made me feel
Better and hopefully maybe help someone else. As
Always you guys are the best ...
"The EMG from the Englewood doctors does NOT show ALS. ALS is not a neuropathy which they say she has slightly and ALS is not a radiculopathy. So the latest EMG is not ALS ."


Said similar on mine as it mentioned motor neuropathy and that this is not typical of MND. Having said that its still a pain in the *beep* :lol:
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Re: help reading an emg

Postby readytocheckout on June 19th, 2014, 7:13 am

Sorry to hijack the thread, but what are the symptoms of motor neuropathy?
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Re: help reading an emg

Postby jerseygirl on June 19th, 2014, 9:55 am

Hey raindog do you have hand atrophy as well?
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